The URL can be used to link to this page

Home My WebLink AboutBAESSIER CONSTRUCTION CO INC - INSURANCE CERTIFICATEOP ID: KH ,dat oszo CERTIFICATE OF LIABILITY INSURANCE UAT02/01 DIYYYY) 02/01/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 970-635-9400 CONTACT NAME: PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 970-635-9401 Johnstown, CO 80534 John Hihtzman PHONE FA% A/C No E.* AIC No : ADE-DRESS:MAIL PRODUCER gAESS-1 CUSTOMER ID, INSURERS AFFORDING COVERAGE NAIC# INSURED Baessler Construction Co, Inc. INSURER A: Auto -Owners Insurance Co. 18988 Baessler Homes, LLLP 3505 Holman Court Greeley, CO 80631 INSURERS: Builders Insurance Group INSURERC: Pinnacol Assurance 524210 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE AOOL IWO POLICY NUMBER I, MMIDDYYrY MM/DDIYYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR GLP011756600 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,00 PREMISES Eaoccorence $ 100,00 MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 LGEN'L AGGREGATE LIMIT APPLIES PER'. X POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 4757715300 03/28/11 03/28/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMSMADE UMB011795900 01/01112 01101113 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ O $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below - NIA ---- - - -- - -- — 4052202 01/01/12 01/01/13 X WC STATU- OTH- T Y LIMITS E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE S 100,00 E. L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) All Operations r All Locations. CITYFT3 City of Fort Collins P.O. Box 580 Ft. Collins„ CO 80522-0585 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE bExS c9 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD